KRISTEN M LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187463

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

LANE

Business Name

KRISTEN M LANE

Original Issue Date

10/01/2008

Effective Date

03/10/2010

Expiration Date

03/31/2011

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011